| Titre : | Simultaneous Bilateral Cochlear Implantation in Very Young Children Improves Adaptability and Social Skills : A Prospective Cohort Study (2023) |
| Auteurs : | Ying Chen ; Yun Li ; Huan Jia ; Wenxi Gu ; Zhaoyan Wang ; Zhihua Zhang ; Minbo Xue ; Jingjie Li ; Wentao Shi ; Linlin Jiang ; Lu Yang ; Olivier Sterkers ; Hao Wu |
| Type de document : | Article |
| Dans : | Ear and hearing (Vol. 44, n°2, Mars Avril 2023) |
| Article en page(s) : | p. 254-263 |
| Note générale : |
DOI: 10.1097/AUD.0000000000001276
|
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Développement du nourrisson ; Implant cochléaire bilatéral ; Nourrisson |
| Résumé : |
Objectives: To investigate the value of using the Gesell Development Diagnosis Scale (GDDS) to predict developmental outcomes in very young children who undergo simultaneous bilateral cochlear implantation.
Design: In this prospective cohort study, a repeated-measures investigation was conducted in a tertiary referral hospital. A total of 62 children receiving simultaneous bilateral cochlear implantations were enrolled from April 2017 to August 2018. They were divided into 2 groups depending on the operative age: "Infants" group (6 to 12 months, N = 38) or "Children" group (12 to 36 months, N = 24). Data on the surgical outcomes, auditory development, speech production, and developmental indicators were collected until 2 years after the initial fitting. The primary outcome measure was the GDDS, a neuropsychological development examination. Secondary outcomes included the following: complication rate, aided pure-tone average, Infant-Toddler Meaningful Auditory Integration Scale, Categories of Auditory Performance-II, Meaningful Use of Speech Scale, Speech Intelligibility Rating, and the LittlEARS Auditory Questionnaire. Results: The mean ages at implantation in infants and children groups were 9.2 +/- 1.17 and 16.6 +/- 3.60 months, respectively. Significant differences were found in the social skills (p = 0.001) and adaptability (p = 0.031) domains of GDDS. The younger the age of bilateral cochlear implants surgery, the higher developmental quotient of language, social skills, and adaptability the child could achieve after 2 years. The complication rates in the infants and children groups were 0% versus 2.1% (p = 0.57). There was no surgical complication in the infants group. In the children group, 1 case with enlarged vestibular aqueduct and Mondini malformation had a receiver-implant misplacement on the right side (2%, 1/48). In the two groups, auditory performance and speech production had improved similarly. In the infants group, social skills developmental quotient at baseline had a significant positive relationship with Meaningful Use of Speech Scale after 2 years. Conclusions: Simultaneous bilateral cochlear implantation in younger children improves adaptability and social skills. GDDS is a sensitive tool of evaluating short-term effect of bilateral cochlear implants in neuropsychological development and constitutes a reliable predictor of speech production for the very younger pediatric cochlear implant users. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://journals-lww-com.ezproxy.vinci.be/ear-hearing/fulltext/2023/03000/simultaneous_bilateral_cochlear_implantation_in.4.aspx |
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